Relations between recurrence risk perceptions and cancer worries in breast cancer survivors.: Presenter(s): Jet Ankersmid, Santeon / University of Twente, Netherlands. (April 2023)

• Record Type: Journal Article
• Authors: Lansink Rotgerink, Fleur K.; Strobbe, Luc J.A.; van Uden-Kraan, Cornelia F.; Siesling, Sabine; Drossaert, Constance H.C.
• Is Part Of: Patient education and counseling. Volume 109(2023)Supplement
• Page Start: 121
• Publication Date: 2023-04
• Subjects: Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2022.10.278
• Languages: English
• ISSNs: 0738-3991

Abstract

Abstract : Background: For accurate patient-provider communication in oncology it is important to know more about factors influencing risk perceptions and the relation with fear of cancer recurrence (FCR). This study aimed to: 1) determine the accuracy of breast cancer survivors' estimations of their risk for locoregional recurrences (LRRs); 2) to examine which variables influence risk estimations, risk appraisal, and the accuracy of risk estimations; and 3) to investigate the influence of the objective LRR risk, risk estimations, and risk appraisal on FCR. Findings: of this study will inform clinicians on risk communication so that breast cancer patients are able to make informed choices with regard to their risk. Methods: In a cross-sectional survey among 258 breast cancer survivors, we measured women's recurrence risk estimations (in odds) and risk appraisal (in high/low), FCR, demographics and illness perceptions, about one year after surgery. Tumour- and treatment-related variables, obtained from electronic health records, were used to determine the objective risk for LRRs. This study is part of the SHOUT-BC study (Netherlands Trial Registry nr. NL8374). Findings: Half of the women (54%) accurately estimated their LRR risk, 34% of women underestimated and 13% overestimated their risk. Women's risk estimations and risk appraisal were only moderately positively correlated (r =.58). Higher risk appraisal was significantly associated with radiotherapy (r =.18) and having weaker cure beliefs (r = -.19). Younger age was significantly associated with overestimation of risk (r = -.23). Recurrence risk estimation and risk appraisal were significantly associated with more FCR (r =.29, r = 39). In regression, only risk appraisal contributed significantly to FCR. Discussion: Although women were fairly accurate in their recurrence risk estimations, it remains difficult to predict over- or underestimation. Since risk estimation and risk appraisal were only moderately intercorrelated, clinicians should address both in their communication.